Organizational structure and culture - Health Care Setting - Organization Management Assignment Help

Assignment Task

Part 1: Organizational structure and culture:

It was my first night duty as a second-year student and I was working in a medical ward.

An old lady of eighty-five years was admitted in the ward with severe bronchitis,

She was on oxygen therapy for 2 liters/ minutes and close monitoring.

After dinner, my ward manager and I came back toward and a handing over was done.

All patients were sleeping no incidence to report, and she left the ward.

On my ward round the lady oxygen, the nasal cannula was disconnected and she was having difficulty breathing.

I reported the incident to my ward manager and fortunately at that time the Medical officer was coming for his round and the patient was assessed.

On her return toward the occurrence was reported and the ward manager reminded her that it was her responsibility to check the patient properly and her duty to maintain patient safety.

Organizational culture represents the shared ways of thinking, sentiment, and performing in the health care setting.

Patient care starts at the top level and everyone in the organization has to know that the well-being and quality of care that the patient received is the organizational goal and reason for being.

Director should come out of the office, meet physicians. nurses and patients thus increasing visibility to both staff and patients so that patient safety does not stop at the board room or the office. Commitment to patient safety should be steady. This can be found when there is a medical error. When this happens management should look for ways to improve systematics processes to prevent adverse events from occurring rather than punishing the individuals. This kind of contradiction can cause staff members to be fed-up and less involved in patient safety efforts.

Safety culture is a component of one of many efforts to improve patient safety including hand hygiene compliance and reducing surgical site infections.

In order to be part of the system that exists in the workplace and be able to speak up, I need to know the existing type of culture already in place and if need to redefine it so that it becomes a more purposeful and convenient environment. Communication is the keyword and managers should be able to interact with their subordinates not only in a professional manner but also in an approachable manner to ensure that even the most juniors are feeling recognized.

Transparency is another principle that is important in decision making. Managers shall take note of the impact of the decision taken and employees are well informed about the decision. made. (https://globalhealth.harvard.edu/qualitypowerpoint, accessed 23 July 2019)

( http://www.inc.com/paul-spiegelman/why-you-should-care-about-the-culture-in-a-hospital.html)

Speaking up means raising concerns about patient safety and quality of care and by such become aware of a risk or a possible risk.

As a registered nurse regarding the safety of my patient, I shall be able to voice out my concern without any fear of being reported to a higher level when there is uncertainty in inpatient treatment.

Feel responsible toward my patient, by providing best practices, not cutting corners while carrying out care, coach peers and juniors’ staffs to recognize the risk associated with their behavioral choice and the actual harm that it can cause.

 Advise, coach, and support juniors staff especially after speaking up.  Reinforce that speaking up is a moral obligation.

When a problem arises fix the situation immediately and let the managers and coworkers be informed that the systems have failed.

Communicate honesty when making an error and accept to hear about own errors discovered by others.

Always look for ways for improvement by questioning myself why things are done this way and how I can do it better,

Evaluate my working environment to find areas for growth that will bring up a good organization in my working area, increase job satisfaction, and grow patient outcomes.

I will apply evidence-based practice in my patient care as it has been demonstrated that patient care outcomes have improved and patients are happier with the care received.

Part 2: Health informatics 

When the first time the Health Informative System (HIS) was introduced in the clinic it was a bit worrisome as we are going from paper system to Electronic Medical Record.  During that transition, there were some bugs as there were some modules not yet loaded on the system so some laboratory tests, x-rays were still being done manually. After 2 years the module was changed for another one and we have to adapt ourselves to the new one. It was quite confusing and difficult at first to adjust and deal with the new work methodology. Over and above all, I had to learn to go paperless. and to develop my learning ability regarding Information technology.

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